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Tolosa-Hunt 증후군으로 발현한 간세포암의 비전형적 대뇌전이 1예
노학재,안무영 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Hepatocellular carcinoma (HCC) is one of the most common malignant neoplasias in Asia. Although extrahepatic metastasis of HCC is not uncommon, intracranial metastasis is relatively rare. Most common site of cerebral metastasis of HCC is supratentorial watershed area and most common symptom is hemiparesis. According to the literature, incidence of intracerebral hemorrhage (ICH) is low but current reports reveal that the incidence of ICH is relatively high. We report a case of nonhemorrhagic cerebral metastasis of HCC in lateral wall of cavernous sinus presenting as Tolosa-Hunt syndrome.
안무영,노학재 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1
Nerve conductionstudies (NCS) are one of the two major components of the electrodiagnostic (EDX) assessment, the other being the needle electrode examination (NEE). The third, and final, component consists of a variety of procedures, grouped under the special studies, most of which are nerve stimulation procedures similar to the NCS. There are three types of NCS, motor, sensory, and mixed. Because of differing technical aspects in their performance, these must be performed sequentially, rather than simultaneously, whenever the same mixed nerve is being assessed. Similar to the NEE and the various special studies, all three types of NCS assess only large, heavily myelinated nerve fibers.
동종 조혈모세포이식 후 발생한 이차성 담즙성 간경변과 다발성 근염
양재훈,김성한,김현정,김희경,김찬규,정진태,이남수,노학재,이규택,박성규,원종호,진소영,홍대식,박희숙 대한조혈모세포이식학회 2003 대한조혈모세포이식학회지 Vol.8 No.1
조혈모세포이식을 받은 환자에서 만성 이식편대 숙주질환의 증상으로 발생할 수 있는 다발성근염과 담즙성 간경변은 각각 드물게 보고되나 다발성근염과 담즙성간경변이 동시에 발생한 경우는 극히 드물다. 이에 저자들은 동종조혈모세포이식 14개월 후 상하지 근무력감과 전신쇠약감을 주소로 내원한 환자에서 근전도, 근조직검사, 항미토콘드리아 항체, 간 조직검사를 통하여 다발성 근염과 이차성 담즙성 간경변이 동시에 발생한 경우를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Polymyositis and biliary cirrhosis have been described as a rare complications in patients who develop chronic graft-versus-host disease (GVHD) after allogeneic hematopoietic stem cell transplantation (HSCT). The concomittant occurrence of polymyositis and biliary cirrhosis developing after allogeneic HSCT might be extremely rare. Fourteen months after HSCT, a 25-year-old man developed polymyositis with biliary cirrhosis as manifestations of chronic GVHD. Polymyositis was diagnosed by the serum muscle enzymes, electromyographic, and histopathologic findings, and biliary cirrhosis was confirmed by the antimitochondrial antibody and histopathologic findings. His clinical condition was improved with cyclosporin and low dose prednisolone therapy. We report herein a case of polymyositis and secondary biliary cirrhosis that occurred concomittantly after allogeneic HSCT.
Kim, Hyun-Jung,Kim, Sung-Han,Kim, Chan-Kyu,Roh, Hak-Jae,Jin, So-Young,Jung, Jin-Tae,Lee, Nam-Su,Lee, Kyu-Taeg,Park, Sung-Kyu,Won, Jong-Ho,Hong, Dae-Sik,Park, Hee-Sook 대한조혈모세포이식학회 2003 대한조혈모세포이식학회지 Vol.8 No.2
Autoimmune disease can develop after stem cell transplantation (SCT), and of these systemic sclerosis usually result from allogeneic SCT. However, no case has been reported of systemic sclerosis developing after autologous SCT. We experienced a case of systemic sclerosis in a patient 3 years after autologous peripheral blood SCT for recurrent non-Hodgkin's lymphoma (NHL). The pathogenesis of the condition is unclear, though possible mechanisms may involve an imbalance of immune regulation induced by thymic damage, hormonal factors, a genetic predisposition, or environmental factors.